FIA UPDATE Let’s Get Moving – one year on
David Stalker reflects on the impact of the FIA’s Let’s Get Moving pilot and the potential for placing a community exercise practitioner (CEP) in every GP practice across the country
I
n 2011, the FIA was invited by Scintillate Ltd to be part of a small group of providers putting exercise
professionals into GP surgeries in Essex. Let’s Get Moving is an evidence-based
programme used to promote physical activity in primary care by bringing sport and physical activity promotion into the heart of GP surgeries. It’s fully evaluated by the British Heart Foundation National Centre for Physical Activity and by the National Institute of Health and Clinical Excellence (NICE) and has been endorsed by the Department of Health.
the pilot Seven GP surgeries and eight community exercise practitioners (CEPs) were secured to target the most deprived quintiles of the population. Clients had to be aged between 18 and 64 years, with a BMI between 30 and 35, and had to be receiving medication for hypertension, diabetes or weight management. T e off ering comprised a 30- to 40-minute session of motivational interviewing and support to become more active.
the process T e FIA, along with delivery partners Scintillate and database specialist company Maracis, began the initial steps of drawing in intrigued participants, leading to fully booked schedules for the year. Dr Tim Anstiss from T e Academy for Health Coaching provided motivational interviewing training to the selected eight CEPs. “T e training was great as it was so
centred on understanding the client. I now have motivational interviewing techniques that I can use in this programme, with my personal training clients and in everyday life to encourage people to initiate an active lifestyle and continue with it,” commented one CEP aſt er completing the training course in February 2011. T e intervention itself made two routes available to the participants: a heavy
intervention or a light intervention, both of which provided the participant with support throughout this long-term behaviour change process. If the participant felt they could implement changes independently of further support, they were leſt to their own devices with the option to call and book again. By providing each patient
with a sense of autonomy, allowing them to lead the session with only slight guidance and questioning from a CEP, results proved very eff ective. “T e CEP I saw was
very helpful. He listened, encouraged me, didn’t make me feel guilty, and provided contact numbers for me to enquire about badminton. Please would you let him know that I am still going to badminton and aquacize – it’s tiring but I intend to keep both going,” said one participant. Physical activity options were also
Practitioners were trained in motivational interviewing techniques T e initiative was also extremely cost-
eff ective, delivering benefi ts in Quality Adjusted Life Years for less than £440, compared to a typical £20,000 benchmark.
off ered to participants who were keen to change their lifestyles. FIA operators based in Essex provided incentivised off ers to help support the programme. T ese off ers were presented in resource sheets to promote local activities and facilities. FitLinxx also provided Actipeds, which
were distributed to participants keen to get moving. By using these Actipeds (which monitor walking steps, distance and fi tness activities), results from daily activities could be uploaded and monitored.
results T e results were phenomenal: assuming all participants were as active as those with Actipeds, these 504 people will have logged almost 150,000,000 steps, 45,000 active hours, 10 million calories burnt and 63,000 miles walked – plus a considerable volume of tears shed by clients who had changed their lives for the better.
24 Read Health Club Management online at
healthclubmanagement.co.uk/digital
next steps T is pilot is highly relevant to the future of a healthcare system which needs to focus more on prevention in order to manage demand on healthcare services and the need to reduce overall healthcare costs. T e FIA team took a commercial
operational approach to managing this pilot’s success. T is included a relentless focus on the entire customer journey, from identifi cation of target audience to engagement, management through service and follow-up, with the ambition being to minimise attrition throughout. In light of these results, the FIA has
entered into discussions with Sport England and Essex County Council to roll out the programme to more GP surgeries and serve more clients. T is next stage of the programme works towards our vision to have a CEP in every GP practice, prescribing physical activity to improve quality of life.
june 2012 © cybertrek 2012
Health Club Management is the FIA’s Public Affairs Media Partner
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